Total 32 job vacancies by Medway Community Healthcare CIC

• Are you a caring and compassionate registered nurse?
• Do you have the skills to care for our residents with respect, dignity, empathy and warmth?
• Do you have a special interest in rehabilitation and stroke care?
• Are you able to effectively communicate with staff, residents and their families, managers and staff from other services and agencies, members of the public, private and voluntary sector?

If you answered yes, we’ve got the perfect role for you!

We are looking for one Band 6 staff nurse/clinical sister, to join our team on the endeavour stroke rehab unit based at Harmony House. The successful applicant will be required to undertake all aspects of nursing care. Ideally the candidate would work a variety of shifts; nights, days and weekends. In return we offer the right person the opportunity to develop their skills and knowledge in Stroke care and become a valued member of our developing service.
• Assist the Clinical Lead with setting and maintaining standards of care on the unit
• Lead the clinical team as Nurse in Charge on a day to day basis in the absence of the Clinical Lead.
• Responsible for ensuring excellent clinical standards and care at all times
• Being a role model and leading by example
• Escalate to Clinical Lead (in absence see chart) / on call manager any incidents, concerns etc in a timely manager as part of patient safety, the site management and to ensure our organisational values are maintained.
• Provide expert clinical intervention by promoting timely and appropriate decision making and assessments for patients
• Apply the NMC code to all practice
• Facilitate safe and timely discharges in partnership with our fellow MDT colleagues both those based on the unit and elsewhere.
• Lead/ participate in the daily board round and weekly MDT to ensure effective communication within the team and excellent patient outcomes.

So what else?
• This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you’ll even have the opportunity to become an MCH shareholder.
• We encourage staff to get involved in exploring new ways of working and service development.
• We’ll provide well established, in-service training, one to one supervision, and appraisals with regular support.
• You’ll be able to develop your skills in a friendly and supportive team.
• Would you like to work flexibly? In the NHS, we are reminded every day of how important work life balance is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.

The small print
• Informal visits can be arranged on request.
• We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme.
• MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients.

At this time, MCH cannot fund or support any further nurses who require the OSCE training. Please do not apply if you require this training.
1. Communication and relationship skills
• To have excellent communication and interpersonal skills
• To ensure clear communication channels are maintained to both the team and senior managers
• To act as a resource and educator for patients, carers, families, team members, GP’s and other professionals within the MDT to provide and advise on evidence based practice, including effective health promotional and enablement aspects, in order to fulfil the requirements of local and national guidelines
• To use effective written and verbal communication in order to transfer sensitive information to others including having difficult conversations with both members of the team and patients and relatives.
• To promote the work of the Stroke team and MCH as an organisation to other professionals, service users and external stakeholders.
• Provide clinical intervention by promoting timely and appropriate decision making and assessments of patients
• Robust documentation and reporting incorporating organisational IT systems
• Work as part of a multidisciplinary team to facilitate timely and appropriate clinical management of patients
• Develop and maintain good working relationships with inpatient and community services within the organisation and the external partners
• To work as a key member of the transfer/ discharge process within the Medway whole system, ensuring effective communication and developing sound relationships with colleagues, health and social professionals from within and external to Medway Community Healthcare, as well as colleagues in the voluntary and private sector
• Promote the philosophy and culture of ‘enablement’ to ensure the unit strives to improve peoples independence and to improve flow within the system and avoid unnecessary delays, working closely with the therapy team.
• To work closely with the Therapy Team to ensure joint working towards achieving individuals goals and ensure the vision of the unit is upheld.
1. Knowledge, training and experience

Registered nurse with previous evidenced experience of being a senior nurse

Extended nursing skills to include:-
• Registered nurse level 1, educated to degree level
• Evidence of continuous development
• Preparation of mentors qualification
• IV drug administration
• Obtain and interpret patient observations
• Record and interpret ECG
• Venepuncture and cannulation
• Male and female catheterisation
• Know the principles in infection control
• Verification of death of identified patients
• Sound clinical knowledge and skills in the support of immediate management of patients requiring clinical intervention
• Evidence experience in identifying and managing unwell patients
• Experience of multidisciplinary working
• DOLs
• Able to work flexibly and co-operatively as well as autonomously
• Confident with decision making
• Able to understand the principles of enablement and rehabilitation to promote independence at all times
• Possess a working knowledge of IT software programmes and how they function, with a good standard of inputting skills
• Evidence of an awareness and understanding of national targets both in health and social care
• Teach and support junior staff. Encourage their development through appraisals and supervision
• To maintain professional standards by attending appropriate training and development opportunities
• Experience of inter professional working
• Experience in clinical audit/ quality improvement initiatives
• Relevant management experience
• To keep up to date with new treatments, techniques and developments for the promotion and maintenance of good clinical practice
• To be a reflective practitioner who is responsible for their own continuous professional development and that of the team
• To have good time management skills; an ability to work in a team being reliable and having a flexible approach
1. Analytical and judgement skills
• To manage the inpatient unit in the absence of the Clinical Lead
• To be able to support staff to assess patients’ understanding of treatment proposals and goal plans, gain valid informed consent and have an ability to work within the legal framework with patients who lack capacity to consent to treatmen
• To asses for and escalate appropriately clinical and non-clinical risk within own role/ and for the team according to the organisations protocol
• To understand the balance of professional development needs with the service needs
• To assess/practice standards on the units infection control precautions and to ensure the organisations policy is applied at all times
• Ability to design and follow individual goal plans (My Plan) in partnership with the patient and the therapy team to ensure awareness of shared objectives at all times and evidence progression
• Demonstrate the ability to reflect on practice and participate in clinical supervision
• Ability to deal with complex information regarding client care and make adjustments in care plan accordingly
• Provide and facilitate assessment of extended nursing skills
• Manage own workload independently using clinical judgement to make informed and appropriate decisions regarding patient care
1. Planning and organisational skills
• To contribute to the development of the team and service provision
• To comply with policy
• To collect and submit all data and statistics as required in a timely and accurate manner
• To independently plan and prioritise own workload, including delegating and organising the work of the team including clinical and non clinical work
• To ensure the team meets the required level of statutory and mandatory training 1:1 and appraisal requirements
• Ensuring patients have appropriate management plan/ my plan
• Ability to plan workload and report within set deadlines
• Co-ordinate the transfer of patients, including those with complex health and social care needs, between Acute Units and MCH
• To manage staffing issues providing senior nurse support and guidance
• To support the Clinical Lead in the coordination of annual leave, study leave and duty rotas
• Provide professional leadership developing teaching and supervising staff, patients and their families to raise understanding, standards of professionalism and contribute to the development of nursing
1. Physical skills
• Undertake the nursing care of the patient in accordance with care plans. Physically carrying out personal care and assisting with mobility whilst encouraging the patient to be as independent as possible and maintaining their privacy and dignity
• Maintain clinical and professional competency by portfolio evidence and an up to date knowledge of nursing, social and integrated working trends policy
• To act within professional standards, including record keeping, confidentiality and drug administration and NMC code of conduct
• Undertake a range of clinical skills including wound management and catheter care.
• Good computer skills in word, excel, outlook and other software packages.
• Patient moving and handling, including transfers, patient from bed to chair and similar in order to support ward staff. To include carrying out a mobility assessment.
• IV drug administration, record and interpret ECG, venepuncture and cannulation.
• Be able to travel to dispersed sites in a timely manne


This advert closes on Thursday 4 Apr 2024

Proud member of the Disability Confident employer scheme

We are looking for an experienced and highly motivated nurse who is passionate about palliative and end of life care to join our hospital based Palliative & End of Life Care Team. You will play an active part in the implementation of evidence-based, guideline recommended palliative care as well as supporting with education and research/audit.

Applications for the post are welcome from nurses with experience in palliative and end-of-life care. Attention to detail and excellent communication skills are a prerequisite. The ability to work collaboratively with ward teams, coordinate care, provide specialist clinical advice and be able to work as an autonomous practitioner are essential.

We are a friendly and supportive team who look to foster a culture of continuous learning and development. Our priority is ensuring consistently outstanding patient and carer experience; to facilitate this we understand the importance of caring for our staff and ensuring where possible they have every opportunity to develop as a practitioner.

So what else?
• This is your chance to join a progressive and innovative service in a social enterprise that is patient and staff focused - you’ll even have the opportunity to become an MCH shareholder.
• We encourage staff to get involved in exploring new ways of working and service development.
• We’ll provide well established, in-service training, one to one supervision, and appraisals with regular support.
• You’ll be able to develop your skills in a friendly and supportive team.

Would you like to work flexibly? In the NHS, we are reminded every day of how important work life balance is. As a flexible working friendly organisation, we want to be sure that you can work in a way that is best for us, for our patients and for you. Speak to us about how we might be able to accommodate a flexible working arrangement.

The small print
• Informal visits can be arranged on request.
• We will offer you the choice of two pension schemes; the NHS Pension scheme and the scottish widows group pension scheme.
• MCH encourages all staff to be double COVID vaccinated to protect themselves, their colleagues, their family and their patients.

Job purpose



To work within the policy framework of Medway Community Healthcare in its provision of specialist palliative and supportive care by supporting Hospital Specialist palliative care team (HPCT) in Medway maritime Hospital. Ensuring that the clinical aims, objectives and social values of the organisation and service are met.



Foster good working relationships and communicate with members of all the wards and departments at MMH as well the rest of the specialist palliative care team based at Wisdom Hospice, other health and social care professionals and users of the service to ensure the delivery of high standards of effective healthcare.



To actively participate in the delivery of a consistently high standard of specialised palliative care
1. Communication and relationship skills


• To provide a therapeutic relationship with designated palliative care patient carers and their families.
• To develop and sustain effective working partnerships with the acute trust team and other specialist services.
• Ensure good practice in managing patient information between the different care settings and teams. Ensure that patient documentation is accurate.
• Understanding of IT i.e. email and other systems that improve communication within the service.
• Attend and participate in relevant meetings promoting good communication between health care providers and continuity of care for patients and families.
• Represent the organisation in a specialist hospital palliative care role at internal and external meetings as required.


1. Knowledge, training and experience


• Registered Nurse, Degree level with appropriate post registration experience
• Further education/evidence of CPD in palliative care
• To be able to demonstrate knowledge of NMC code of Practice
• To have knowledge of NHS Key documents in relation to palliative and end of life care.
• Experience of planning, providing and evaluating education sessions
• Experience of working in different health care settings.
• Experience of how audit, research and evidence based practice can influence excellent care.
• Experience of providing therapeutic interventions to individuals and families facing change, loss and bereavement.


1. Analytical and judgement skills


• Undertake an integrated, holistic assessment of patients referred into the service, following assessment, plan and evaluate care liaising with the nominated CNS regarding your actions.
• Following identification of needs (physical, psychosocial and spiritual) refer on to other team members, agencies as appropriate.
• Monitor patient needs and interventions and appropriately report to the identified key worker.
• In conjunction with service users and the multi-disciplinary team, develop and review care plans to meet identified specialist needs.
• Be a resource of specialised knowledge and clinical expertise to promote the delivery of HPCT and respond timely to changes in the service users’ circumstances.
• Analyse and rigorously review all aspects of the service user’s management plan interpreting information provided and using knowledge and judgement to provide specialist advice to recommend adjustments or new courses of action.
•


1. Planning and organisational skills


• Work in partnership with the acute trust to provide advance care planning that includes anticipatory prescribing and organisation of palliative care service delivery.
• Actively participate and contribute to the weekly, multi-disciplinary, palliative care meetings discussing individual patient and carer needs.
• Organise, plan, and prioritise patient contacts within a defined caseload.
• Able to manage workload flow in a productive, timely and effective manner
• Act as a role model in the coordination and delivery of HPCT.
• Ensure compliance with relevant processes which support the patient and carers experience across MMH and palliative care are followed.
• Support service users to adjust to and manage change in their lives, to maximise their potential within the constraints of their illness and circumstances.


1. Physical skills


• To attend meetings both on and off site.
• To transport, clean and operate small pieces of equipment i.e. syringe driver, nebuliser in line with organisations codes of practice.
• Excellent computer skills


1. Responsibility for patient / client care


• Ensure patients, families and carers are informed of the services available to them; this will facilitate an informed decision as to preferred place of care and death
• To discuss patients/families/carers emotional/physical/psychological/spiritual needs with sensitivity.
• Deliver palliative care in partnership with the acute trust and specialist community services.
• Provide appropriate information and education to patients/carers/families on their condition, treatment options, side effects and future prognosis supported by the acute trust and wider multi-disciplinary team.
• Understand data protection, patient confidentiality and NHS Medway’s policy.
• Act sensitively in the role of advocate in order to enable and promote service user involvement in informed decision making.
• Provide information and advice to service users, colleagues and other health and social care professional agencies.

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1. Responsibility for policy and service development implementation


• Liaise with team lead, any ideas or proposals for service improvement.
• Discusses and agrees within the team the implication and direction of current and proposed policy within their current practice
• Ability to adapt to the changing needs of services provided.
• Contributes to the development of the specialist palliative care nursing services through reflection within the team and as an individual.
• Ensure clinical placements are effectively facilitated, creating a positive environment.
• Take a pro-active role in the preparation of information for audits/reports and evaluations ensuring actions are identified and acted on accordingly.
• Be fully conversant with organisational policies in relation to interventions and care planning including specialist palliative care guidelines, standard operational procedures and HPCT.


1. Responsibilities for financial and physical resources


• Ensure specialist equipment is tested and checked in a timely manner in line with organisations policy.
• Prioritise patient care whilst taking into consideration cost effectiveness of journeys
• Appropriate use of organisations provided mobile phone, laptop, use of email and internet access.


1. Responsibilities for human resources (HR)


• Promote the use of reflection and retrospective case reviews with health care, care home and specialist teams.
• Ensure a supportive approach to working with health and social care partners by providing regular face to face contact




1. Responsibilities for information resources


• Ensure all electronic, paper-based records and data systems are completed, up to date and filed appropriately.
• Ensure confidentiality of patient information is maintained at all times in line with organisations policy.
• Ensure regular checking of email account and reading of cascaded organisational information.
• Ensure ability to access organisations intranet and navigate to find relevant information i.e. policy documents.




1. Responsibilities for research and development (R&D)


• Take an active role in allocated service audit and research projects.
• Maintain core competency for nursing practice within specialist palliative care
• Seek to expand current competency in line with service development and personal professional objectives.




1. Freedom to act


• Be accountable for own actions and professional development maintaining a safe and competent practice.
• Adhere to professional codes of conduct as appropriate.
• Is professionally and legally accountable for aspects of own practise.




1. Physical effort (refer to effort factor questionnaire)


• The majority of the role will be spent in Medway Maritime Hospital. The post holder will need to be able to move from site to site in a timely manner including in periods of heavy traffic and use of motorway if necessary.




1. Mental effort (refer to effort factor questionnaire)


• Ability to cope with interruptions and re-prioritisation of workload.
• Concentration required and maintained during patient assessment and planning care
• To be a resource to generalist care staff and provision for responsive specialist palliative care advice.


1. Emotional effort (refer to effort factor questionnaire)


• Dealing with on a daily basis patients/families/carers who are facing difficult decisions and facing death, providing support in a calm empathic manner.
• Constant exposure to loss and bereavement and highly distressing situations.




1. Working conditions (refer to effort factor questionnaire)


• Direct exposure to smell and body fluids
• Potential risk of dealing with distress, angry and aggressive patients/families/carers
• Lone Working
• Flexibility to contribute to a 24/7 service delivery






This advert closes on Tuesday 26 Dec 2023

Proud member of the Disability Confident employer scheme